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General NPI Number Information
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NPI Number | 1306053095
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Entity Type | Individual
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Provider Name | MARK WILLIAM KAHO DDS
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 155 SCHOOLHOUSE LANE
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City | COLUMBUS
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State | OH
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Zip | 43228
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Country | US
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Telephone | 614-878-4422
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Fax | 614-878-4769
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Provider Business Mailing Address
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Address Line | 5101 GOODSON ROAD
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City | WEST JEFFERSON
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State | OH
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Zip | 43162
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Country | US
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Telephone | 614-879-9044
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 17362
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License Number State | OH
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